Department of the Treasury Internal Revenue Service
Public Charity Status and Public Support
Complete if the organization is a section 501(c)(3) organization or a section
4947(a)(1) nonexempt charitable trust.
Attach to Form 990 or Form 990-EZ. See separate instructions.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
PLYMOUTH HOUSING GROUP
Employer identification number
91-1122621
Part I
Reason for Public Charity Status
(All organizations must complete this part.) See instructions
The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)
1
2
3
4
5
section 170(b)(1)(A)(iv). (Complete Part II.)
6
7
8
9
receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of
its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses
acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)
10
11
e
By checking this box, I certify that the organization is not controlled directly or indirectly by one or more disqualified persons other than foundation managers and other than one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2).
f
If the organization received a written determination from the IRS that it is a Type I, Type II or Type III supporting organization, check this box
..................................................
g
Since August 17, 2006, has the organization accepted any gift or contribution from any of the following persons?
(i) a person who directly or indirectly controls, either alone or together with persons described in (ii)
Yes
No
and (iii) below, the governing body of the the supported organization?
................
11g(i)
(ii)
a family member of a person described in (i) above?
......................
11g(ii)
(iii)
a 35% controlled entity of a person described in (i) or (ii) above?
................
11g(iii)
h
Provide the following information about the supported organization(s).
(i) Name of supported organization
(ii) EIN
(iii) Type of organization (described on lines 1- 9 above or IRC section (see instructions))
(iv) Is the organization in col. (i) listed in your governing document?
(v) Did you notify the organization in col. (i) of your support?
(vi) Is the organization in col. (i) organized in the U.S.?
(vii) Amount of support?
Yes
No
Yes
No
Yes
No
Total
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 11285F
Schedule A (Form 990 or 990-EZ) 2010
Schedule A (Form 990 or 990-EZ) 2010
Page 2
Part II
Support Schedule for Organizations Described in IRC 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi) (Complete only if you checked the box on line 5, 7, or 8 of Part I or if the
organization failed to qualify under Part III. If the organization fails to
qualify under the tests listed below, please complete Part III.)
Section A. Public Support
Calendar year(or fiscal year beginning in)
(a) 2006
(b) 2007
(c) 2008
(d) 2009
(e) 2010
(f) Total
1
Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") ....
3,364,201
4,204,757
3,092,277
10,511,947
8,453,849
29,627,031
2
Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......
3
The value of services or facilities furnished by a governmental unit to the organization without charge..
4
Total. Add lines 1 through 3..
3,364,201
4,204,757
3,092,277
10,511,947
8,453,849
29,627,031
5
The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included
on line 1 that exceeds 2% of the amount shown on line 11, column (f)..
246,278
6
Public Support. Subtract line 5 from line 4.
29,380,753
Section B. Total Support
Calendar year(or fiscal year beginning in)
(a) 2006
(b) 2007
(c) 2008
(d) 2009
(e) 2010
(f) Total
7
Amounts from line 4..
3,364,201
4,204,757
3,092,277
10,511,947
8,453,849
29,627,031
8
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
510,854
651,432
804,998
510,800
551,454
3,029,538
9
Net income from unrelated business activities, whether or not the business is regularly carried on..
2,891
2,891
10
Other income. (Explain in Part IV.) Do not include gain or loss from the sale of capital assets..
25,000
548
969
99
26,616
11
Total support (Add lines 7 through 10).
32,686,076
12
Gross receipts from related activities, etc. (See instructions.)
..................
12
13,279,642
13
First Five Years
If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization,
check this box and stop here..........................................
Section C. Computation of Public Support Percentage
14
Public Support Percentage for 2010 (line 6 column (f) divided by line 11 column (f))
.........
14
89.890 %
15
Public Support Percentage for 2009 Schedule A, Part II, line 14
...............
15
84.980 %
16a
33 1/3% support test—2010.
If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization
......................
b
33 1/3% support test—2009.
If the organization did not check the box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization
.....................
17a
10%-facts-and-circumstances test—2010.
If the organization did not check a box on line 13, 16a, or 16b and line 14
is 10% or more, and if the organization meets the "facts and circumstances" test, check this box and stop here. Explain
in Part IV how the organization meets the "facts and circumstances" test. The organization qualifies as a publicly supported
organization
..................................................
b
10%-facts-and-circumstances test—2009.
If the organization did not check a box on line 13, 16a, 16b, or 17a and line
15 is 10% or more, and if the organization meets the "facts and circumstances" test, check this box and stop here.
Explain in Part IV how the organization meets the "facts and circumstances" test. The organization qualifies as a publicly supported organization
..............................................
18
Private Foundation
If the organization did not check a box on line 13, 16a, 16b, 17a or 17b, check this box and see
instructions
...................................................
Schedule A (Form 990 or 990-EZ) 2010
Schedule A (Form 990 or 990-EZ) 2010
Page 3
Part III
Support Schedule for Organizations Described in IRC 509(a)(2) (Complete only if you checked the box on line 9 of Part I or if the organization
failed to qualify under Part II. If the organization fails to qualify under
the tests listed below, please complete Part II.)
Section A. Public Support
Calendar year(or fiscal year beginning in)
(a) 2006
(b) 2007
(c) 2008
(d) 2009
(e) 2010
(f) Total
1
Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
2
Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose......
3
Gross receipts from activities that are not an unrelated trade or business under section 513..
4
Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5
The value of services or facilities furnished by a governmental unit to the organization without charge..
6
Total. Add lines 1 through 5.
7a
Amounts included on lines 1, 2, and 3 received from disqualified persons...
b
Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.
c
Add lines 7a and 7b..
8
Public Support (Subtract line 7c from line 6.)
Section B. Total Support
Calendar year (or fiscal year beginning in)
(a) 2006
(b) 2007
(c) 2008
(d) 2009
(e) 2010
(f) Total
9
Amounts from line 6...
10a
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
b
Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c
Add lines 10a and 10b.
11
Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.
12
Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)
13
Total support (Add lines 9, 10c, 11 and 12.).
14
First Five Years
If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization,
check this box and stop here.............................................
Section C. Computation of Public Support Percentage
15
Public Support Percentage for 2010 (line 8 column (f) divided by line 13 column (f))
.........
15
16
Public support percentage from 2009 Schedule A, Part III, line 15
...............
16
Section D. Computation of Investment Income Percentage
17
Investment income percentage for 2010 (line 10c column (f) divided by line 13 column (f))
......
17
18
Investment income percentage from 2009 Schedule A, Part III, line 17
.............
18
19a
33 1/3% support tests—2010.
If the organization did not check the box on line 14, and line 15 is more than 33 1/3% and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization
..........
b
33 1/3% support tests—2009.
If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization
....
20
Private Foundation
If the organization did not check a box on line 14, 19a or 19b, check this box and see instructions
.....
Schedule A (Form 990 or 990-EZ) 2010
Schedule A (Form 990 or 990-EZ) 2010
Page 4
Part IV
Supplemental Information.
Supplemental Information. Complete this part to provide the explanation required by Part II, line 10; Part II, line 17a or 17b; or Part III, line 12. Also complete this part for any additional information. (See instructions).
Facts And Circumstances Test
Explanation
Schedule A (Form 990 or 990-EZ) 2010
Additional Data
Software ID:
Software Version:
-
TIN:
SCHEDULE O (Form 990 or 990-EZ)
Department of the Treasury Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ
Complete to provide information for responses to specific questions on
Form 990 or to provide any additional information.
Attach to Form 990 or 990-EZ.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
PLYMOUTH HOUSING GROUP
Employer identification number
91-1122621
Identifier
Return Reference
Explanation
NEW PROGRAM SERVICES
FORM 990, PART III, LINE 2
DURING 2010, PLYMOUTH COMPLETED CONSTRUCTION OF AN 84-UNIT APARTMENT BUILDING IN THE BELLTOWN NEIGHBORHOOD OF SEATTLE, KNOWN AS FIRST & CEDAR LLC, AKA HUMPHREY HOUSE. THIS BUILDING WILL PROVIDE PERMANENT HOUSING TO HOMELESS & VERY LOW-INCOME INDIVIDUALS. IN ADDITION, PLYMOUTH COMPLETED A MAJOR RENOVATION OF SCARGO APTS. SCARGO ALSO PROVIDES PERMANENT HOUSING TO HOMELESS AND VERY LOW-INCOME INDIVIDUALS. FINALLY, PLYMOUTH COMPLETED CONSTRUCTION OF THE ESSENTIAL SUPPLY CENTER, WHICH PROVIDES VERY LOW-INCOME TENANTS WITH NEEDED ITEMS LIKE LINENS, HOUSEHOLD GOODS, CLEANING SUPPLIES, EMERGENCY FOOD AND TOILETRIES.
FORM 990, PART VI, SECTION A, LINE 4
PLYMOUTH HOUSING GROUP AMENDED AND RESTATED THEIR BYLAWS AND ARTICLES ON JUNE 28, 2010. THE AMENDED BYLAWS PROVIDE THAT THE BOARD HAVE NOT FEWER THAN 15 MEMBERS NOR MORE THAN 21. THE MOST SUBSTANTIVE AMENDMENT TO BOTH DOCUMENTS IS IN INDEMNIFICATION PROVISIONS, WHICH HAVE BEEN MOVED FROM THE BYLAWS TO THE ARTICLES. IT PROVIDES THAT TRUSTEES ARE INDEMNIFIED TO THE FULLEST EXTENT PERMITTED BY LAW (THERE IS NO INDEMNIFICATION FOR TRUSTEES WHO BREAK THE LAW OR ACT WITH MALICE). THE INDEMNIFICATION IS OF TRUSTEE'S ACTIONS IN GOOD FAITH TO CARRY OUT THEIR DUTIES.
FORM 990, PART VI, SECTION B, LINE 11
THE AUDIT COMMITTEE OF THE BOARD REVIEWS AND ACCEPTS THE FORM 990. COPIES OF THE FORM 990 ARE ALSO PROVIDED TO THE FULL BOARD BEFORE THE 990 IS FILED.
FORM 990, PART VI, SECTION B, LINE 12C
CONFLICT OF INTEREST FORMS ARE COMPLETED ANNUALLY BY BOARD MEMBERS, OFFICERS & KEY EMPLOYEES. FORMS NOTING A POSSIBLE CONFLICT ARE REVIEWED BY THE EXECUTIVE DIRECTOR AND CHIEF FINANICAL OFFICER. CONFLICTS WHICH MIGHT AFFECT BOARD DECISION MAKING ARE PRESENTED TO THE BOARD PRESIDENT TO DETERMINE A COURSE OF ACTION.
FORM 990, PART VI, SECTION B, LINE 15A
THE COMPENSATION FOR THE EXECUTIVE DIRECTOR IS DETERMINED BY THE EXECUTIVE COMMITTEE OF THE BOARD. THE COMMITTEE REVIEWS DATA REGARDING COMPENSATION FOR SIMILARLY QUALIFIED PERSONS IN COMPARABLE POSITIONS, & DOCUMENTS ITS DECISION REGARDING THE EXECUTIVE DIRECTOR'S COMPENSATION. THE EXECUTIVE DIRECTOR IS NOT INVOLVED IN THIS COMPENSATION REVIEW/APPROVAL PROCESS.
FORM 990, PART VI, SECTION C, LINE 19
THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE MADE AVAILABLE UPON REQUEST.
CHANGES IN NET ASSETS OR FUND BALANCES:
FORM 990, PART XI, LINE 5:
NET UNREALIZED LOSSES ON INVESTMENTS: -2,363.
FORM 990, PART 1, LINE 6
IN 2010, PLYMOUTH'S VOLUNTEERS DONATED 4,277 HOURS, INCLUDING TIME SPENT ON DAY-OF-CARING-STYLE ONE-TIME GROUP EVENTS, ASSISTANCE WITH FUNDRAISING EVENTS, HELP WITH TENANT SOCIAL GATHERINGS AND EFFORTS TO ORGANIZE AND STOCK PLYMOUTH'S ESSENTIAL SUPPLY CENTER FOR TENANTS. IN ADDITION, PLYMOUTH HAS A VOLUNTEER BOARD PLUS BOARD COMMITTEES AND EVENT STEERING COMMITTEES. PLYMOUTH TRACKS VOLUNTEER ACTIVITY IN TWO WAYS: (1) BY RECORDING INDIVIDUAL AND ORGANIZATIONAL VOLUNTEERS IN OUR SAGE SOFTWARE DATABASE INCLUDING THE RECORDING OF HOURS FOR THESE CONSTITUENTS AND (2) BY MAINTAINING A SPREADSHEET TO TRACK ALL VOLUNTEER ACTIVITIES.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.